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The precautionary principle applies here

The study included patients with an A1C value of 8.3% and a starting weight of 94.1 kg (207 lb)

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Under subcutaneous injection, the prominently ranked adverse events (AE) include medullary thyroid carcinoma, gastric hypomotility, obstructive pancreatitis, diabetic retinopathy, decreased glycated hemoglobin, thyroid nodules, bile acid malabsorption, projectile vomiting, retinopathy, and neck mass

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